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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date,Received V t Phone Contact for Permitting 2� <br /> Owner's Name w 1e, l., reW S Owner Phone Number <br /> Owner's Address rqo ! Owner Phone Number <br /> Fee Simple Titleholder Name 541-w Owner Phone Number <br /> Fee Simple;Titleholder Address 2 cL ! / �1,, <br /> JOB ADDRESS `� o 3 7 C A 4 h c e 24 4t r/i 5-Tv LOT# <br /> SUBDIVISION PARCEL ID# 7 ' Z V` ZZ—coo0 —O �—0o"d.;; <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> f� Q FRAME = STEEL Q <br /> DESCRIPTION OF WORK fie /t �S e q G`e <br /> BUILDING SIZE S ! 5 0 v SQ FOOTAGE 3 j� S HEIGHT 3 6 ' <br /> BUILDING $ VALUATION OF TOTAL CONSTR TION q/ 0 <br /> =ELECTRICAL $ AMP SERVICE ZOO PROGRESS ENERGY EE�W.R.E.C. <br /> =PLUMBING is 2Z � ( O�l. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L g'1 jf8-_0 �Gc� S <br /> S <br /> =GAS = ROOFING 0 SPECIALTY = OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I/Vy <br /> ` <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREN Y/N <br /> Address l�D ( 335 6 License# a �l <br /> ELECTRICIAN COMPANY (L'`J 0 (05 :Dee_*_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ( C7 License# FTC _ure90 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L !J 6 5 License# TZ <br /> MECHANICAL COMPANY C 3� a �1 S t� ��£/1e <br /> SIGNATURE /1 REGISTERED Y/ N FEE CURREN Y/N [, <br /> Address License# 4G /N <br /> d !—? ( g <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 141 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A1C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />